how "doable" is part-time as a physician?

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mycurlyearly

mycurlyearly
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I tried searching this but I couldn't find a real thread about it.

How doable is it to have part time work as a doctor after residency and fellowships? Are their certain specialties that lend themselves more to part time opportunities? And when I mean part time, I am talking 30-40 hours/ week, maybe a little more.

Thanks! I would love to hear personal experiences or doctors you know in this situation.

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If you want to be a part time doctor do the world a favor and don't waste a med school spot. If you want to do part time stuff be a PA. It is much more family friendly and better fit for part time.
 
is malpractice covered by the employer?
 
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Well let's not be too hasty now. Maybe the OP would like to have a family, time to pursue other endeavors outside of medicine, or other extenuating circumstances. None of those reasonable aspirations calls into question his/her motivation for entering medicine as a career.

As for the original question: I am sure there are private practices willing to employ part time physicians (I have seen postings for part-time radiologists), but you'll be taking a big hit on salary and benefits.


haha thanks. I forgot to mention that I don't really care about the money part, just the hours and lifestyle. I understand that you can't really have your cake and eat it too.
 
I know a Dr. that works one day a week (psych). I think the trick is to be flexible as to where you work; if you're willing to take a reduced salary/benefits and possibly work for the gov't in some capacity, then you'll probably be able to find work that matches just about any schedule.
 
dermatogist work around 40 hours/week, family docs have 9-5 hours aswell.
 
haha thanks. I forgot to mention that I don't really care about the money part, just the hours and lifestyle. I understand that you can't really have your cake and eat it too.

Sorry if I came off a bit harsh in the first post. It is just that being a part time doctor just seems unfathomable. I mean in your later years sure, but not right off the bat or anytime soon after that.

You have your over 100k loans to pay off and you have to establish yourself. So making money is very important. Not to mention you just invested a ton of time becoming a doctor, I don't see why you would give up so much for a part time job.

I was serious about the PA thing. It really is great for people who want to work part time and have a family.
 
dermatogist work around 40 hours/week, family docs have 9-5 hours aswell.

Here's a reasonably accurate list of average (post-residency) hours from a few years back. http://www.medfriends.org/specialty_hours_worked.htm

As you can see Derm works on average more than 45, and FP is even longer than that. There are currently part time opportunities out there. But as the current generation seems to be a particularly life-style oriented one compared to its predecessor, you are seeing these spots getting gobbled up, and becoming progressively more competitive. I have met folks who work under 40 hrs per week in Peds, FP and psych, at a more than commensurate cut in salary (as expenses don't go down linearly with your hours); and under 40 hrs per week is not uncommon for EM. But as the profession becomes more tied to reimbursements, and as insurance companies tighten the screws on these reimbursements -- forcing physicians to work more hours each year to make the same revenue as the prior year, you are seeing fewer partnerships/practices interested in permitting their employees to do part time labor. And the patient base is going up, not down, requiring more doctor hours to service it. So I would predict that part time jobs will become few and far between in the coming years, unless some major change occurs in healthcare.

EM will always have shorter hours because of shift work, but the trade off is those shorter hours may tend to be the less desirable ones for the newbies. Is working three twelve hour overnight shifts a week better than a normal work week? For many it is. And you can always do FP or psych or peds and just hang up a shingle and practice whenever you want, but some docs who do this have trouble paying their bills/loans/etc.

If you don't plan on working >45 hours per week, a profession like medicine is probably not the optimal path. The field is less conducive to part-time than most, becoming progressively more so (from what I can see), and many many physicians who have a family tend to make extensive use nanny and daycare options -- it is simply the nature of the beast. It is pretty much a given in the US that professionals work long hours. There are many jobs out there that are 9 to 5, but these aren't them.
 
Actually it depends on when you want to work PT. You are seeing more and more PT offers appear but its really specialty dependent. Usually they are in larger practices and usually they are only your primary care fields as well as I've seen it for OB/GYN as well. And usually its not right out of school unless you have someone else to help pay off your loans (or don't have any loans). Huge generalizations but this is just from what I've seen and heard when talking to other physicians. And yes its probably area dependent as well but check the various fields. Those opportunities do exist but they are not extremely common for the average physician due to other circumstances including malpractice, physician debt, to name a few from what I've gathered. I know a part-time peds dr who works in a NICU a few days a month to cover for some doctors on the weekends so they don't have to work so much. I know a few FM docs part-time in large practices. There are opportunities but usually they are from networking and finding the right situation.

And I'm sure there are going to be some people who will blast you for wanting to work part-time but its a part of life and yes the opportunities are growing for this type of work. But you might get stuck paying you're own malpractice and a few other things unless you can work out a good deal! I know a few students who ended up getting married during school to other physicians and have changed their career decisions in order to have a family, including 1 that will most likely be working part-time.
 
My cousin is an opthamologist. She works two days a week so she can be with her two children the other days. Her mother watches the kids one day and her mother-in-law watches them the other day.
 
We are seeing this more and more. Chances are (as people realize they need more balanced lives) there will be even more by the time we are out in practice in 10 years. I know that our local hospitals staff the ERs with a physician's staffing service. All the ER docs work for the service, not the hospitals. They join the service and just state how many shifts they want to work. A single mom works two days a week (at night while her kids sleep and a friend sleeps over to stay with them) and makes plenty of money to live in a nice neighborhood and be home with her kids.

If it is possible now, then my guess is that there will be plently of options like that in another decade.

Good luck to you!
 
If you want to be a part time doctor do the world a favor and don't waste a med school spot. If you want to do part time stuff be a PA. It is much more family friendly and better fit for part time.

there are plenty of docs who are already part-time b/c they are engaged in so many other aspects of the business world.
 
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My cousin is an opthamologist. She works two days a week so she can be with her two children the other days. Her mother watches the kids one day and her mother-in-law watches them the other day.

Enough with the anecdotal occurrences. Your one story doesn't prove anything and no one in their right mind should generalize your story to be representative of the entire population.
 
I know a couple of docs personally that practice part-time and then go home to their kids.

One is a pediatrician in a rural practice. She works 3 1/2 days a week. She joined a clinic in a small town (pop. 3500) that was looking to expand it's practice. This doc had an offer for full-time academic medicine, but turned it down for the slower lifestyle.

Another is an internist in a small urban setting (pop. 100,000). She practices in a clinic 3 days a week and every 6 weeks she covers the wards on the weekend for the hospitalists. Her husband is a cardiologist with the competing hospital in the city.
 
We are seeing this more and more. Chances are (as people realize they need more balanced lives) there will be even more by the time we are out in practice in 10 years.

I would argue that the more people that want this option, the harder they will be to come by in 10 years. Things in short supply in medicine don't always (or even usually) result in an increase in supply.
 
We have people taking up med school spots and working two or three days a week. No wonder there is a doctor shortage.

I'll probably get criticized for saying this but it is the truth. If you want to be a single mom or something, you shouldn't be a doctor. Because if you hadn't taken that med school spot there probably would have been someone in it who would care for patients full time. I can assure you that there have been people who have had to wait twice as long to see a specialist they need because she wanted to stay at home with the kids more.

There are great careers for people who want to be part-time, things that are not life and death. Being a doctor is not one of them.
 
Medicine is becoming more accomodating for people who want to have a "life" and work part-time.

Many patiemts would rather see a 'balanced" physician who is happy and not burnt out, rather than someone who openly disparages future colleagues by telling them to not take up medical school spots from type A workaholics!
 
there are plenty of docs who are already part-time b/c they are engaged in so many other aspects of the business world.
Yeah but they are still working full-time - like academic researchers, etc that only work part-time clinically.

I took it as the OP wanted to focus and true PT opportunities, but great thought.
 
Enough with the anecdotal occurrences. Your one story doesn't prove anything and no one in their right mind should generalize your story to be representative of the entire population.
😕 But there are many stories like this and by someone sharing one persons story (like I did myself) shouldn't be looked down upon. If everyone contributed one story on this site to a part-time doc, that be like 30,000 part time docs (well active users and as well as if we all didn't know the same doc 😉 )
 
I know plenty of part-time docs.

They are of varying ages, from 30's through over 65.

The fields include family practice, dermatology, radiology, pediatrics,pathology, and Internal Medicine.

They include males as well as females.

And they are a lot happier than some full time docs I have met.

Medicne is a great profession, because there is a place for everybody (including workaholics!)
 
It is just that being a part time doctor just seems unfathomable. I mean in your later years sure, but not right off the bat or anytime soon after that.

You have your over 100k loans to pay off and you have to establish yourself. So making money is very important. Not to mention you just invested a ton of time becoming a doctor, I don't see why you would give up so much for a part time job.

whoa. I think this is a bit hasty too.
To some people:
A) going to med school doesnt entail having loans to pay back. So its not like after medical school they are thinking, "I better start working, moonlighting all the time, etc, so I can get these LOANS paid off." Hard for you to believe? Sorry, its true.
B) despite their TIME investment, it is REALLY not about the money, its about helping people and doing something meaningful with their lives, but at the same time, they want to have a family, and be fulfilled in other areas aside from their career. so what, exactly, are they "giving up?" a more high-powered 24/7 career, to be home with their children a bit more? Is that a crime? Maybe its not something you think is a priority in YOUR life, but that doesnt mean that anything is wrong with it.

I was serious about the PA thing. It really is great for people who want to work part time and have a family.

Before you jump to conclusions abt the "PA thing," have you ever even talked to a PA? Do you know that there are major differences between what is done and what is allowed to be done by an MD vs PA? I mention this because after successfully completing all my premed requiremetns and taking the MCAT, I took a break, and a major step back from my medical aspirations and considered PA school for quite a while, but ultimately concluded that although as a PA i might (and i emphasize might) have more freedom in terms of hrs and time to spend w/ my family off call, etc etc, It was never my dream, is never my dream, and I would always be looking back saying that I shouldve gone to medical school and I would always be frustrated in that I esseintlally would never become anything more than (no offense to pre-pa or pa students) a glorified senior resident.

We have people taking up med school spots and working two or three days a week. No wonder there is a doctor shortage.
Nursing shortage perhaps, but please show me statistics stating that there is a "doctor shortage" in the US. I havent heard that as of late.

If you want to be a single mom or something, you shouldn't be a doctor.
A, I dont want to be a "single mom" nor do most people who have kids. I do, on the other hand, want to have a family. There is nothing wrong with that, as is evidenced by the fact that abt 50% of all med school classes these days (in some schools even more) are composed of female students. When you show me raw data stating that maybe even TEN percent of these students have had oopherectomies in order to ensure that they will not ever have children which would effectively "mess up" their doctoring dreams, then, maybe ill believe you, and back down, because hten, maybe i am just a "minority," one of few future med students out there who wants to have kids and be a good dr.
Because if you hadn't taken that med school spot there probably would have been someone in it who would care for patients full time.
Again, where is your evidence?
I can assure you that there have been people who have had to wait twice as long to see a specialist they need because she wanted to stay at home with the kids more.
Highly doubtful. If some "specialist" is hired to work on Mondays and Wednesdays only, I dont think that her department, or her clinic or her office, or whatever, closes on the other days, in order to accomidate her family life. That is HER schedule, there ARE other drs. Someone who wants to see particularly Dr. X with kids who works monday and wed. only, might have to wait a week, but there are surely other drs in that office/clinic/dept they can visit as well.
There are great careers for people who want to be part-time, things that are not life and death. Being a doctor is not one of them.
??
I am not even gonna respond to this because it is just so immature and narrow minded. are you living in the 1800s? or do you come from some arab country where women are forced to walk around covered in black cloth w/ only their eyes peeking out?
Come on.

and, to the OP - YOU GO GIRL!!!
There are MANY subspecialties out there where a part time schedule is very do-able. NOT among these are probably cardiothoracic vascular and ortho surgery (most surgical subspecialties actually). But, you can do: Interventional Radiology, Noninterventional radiology, pathology, dermatology, opthamology, Plastics (after a long and grueling residency and fellowship, its definitely possible to make your own hours, have no call except when u want it, etc.), family or internal medicine, psychiatry, GI, radiation oncoogy, etc etc etc. The list goes on and on. You may not recieve the same benefits (health ins, etc), and you can expect obvious pay cuts, but in pretty much any medical subspecialty, its possible to find someone, somewhere, who will take you part time.
 
I tried searching this but I couldn't find a real thread about it.

How doable is it to have part time work as a doctor after residency and fellowships? Are their certain specialties that lend themselves more to part time opportunities? And when I mean part time, I am talking 30-40 hours/ week, maybe a little more.

Thanks! I would love to hear personal experiences or doctors you know in this situation.

If you are a board certified MD and want to work part-time, I am sure you will find work on your terms somewhere. Just maybe wont get the best pay or benefits.

My kids pediatrician is part time (works 30 hours a week). Her husband is a specialist, I think Gastroenterologist (read: dookie doctor). They have a couple kids and he brings home bank, so she just works because she enjoys her job.

Its America, do what you want. And don't worry about the people that whine about you taking a medical school slot, if they are so worried about it, they can work harder and get accepted themselves.
 
or do you come from some arab country where women are forced to walk around covered in black cloth w/ only their eyes peeking out?
Come on.

I don't know if it is more funny or sad that to combat one gross generalization you used another one.

Anyhow, I think one has every right to pursue the part-time path if he/she wishes to. Yes, there are shortcomings in our healthcare system, but chastising the lifestyle choices of individual doctors for being the direct cause of these more institutional problems, I think is unfair.

Plus, it's not as if we (aspiring doctors) are signing up to be indentured servants, at least I never read that anywhere in the contract. And if you choose not to fully exercise the skills and responsibilities that you spent nearly 25 years of education/life to achieve, I see it as mostly your own loss.
 
😕 But there are many stories like this and by someone sharing one persons story (like I did myself) shouldn't be looked down upon. If everyone contributed one story on this site to a part-time doc, that be like 30,000 part time docs (well active users and as well as if we all didn't know the same doc 😉 )

I have no real problem with anecdotal evidence expect when used here, it tends to run along the line of "My mom did it, so I know you can" or "I got in with a 29, so you can too". Such sweeping generalization that are not backed with statistics or factual evidence is unreliable and should be kept to oneself.
 
I have no real problem with anecdotal evidence expect when used here, it tends to run along the line of "My mom did it, so I know you can" or "I got in with a 29, so you can too". Such sweeping generalization that are not backed with statistics or factual evidence is unreliable and should be kept to oneself.

In case you haven't noticed, most of the questions posted on SDN cannot be supported by statistics or factual evidence..bummer isn't it?

They are answered by personal experiences.

Sorry I can't back this up with a number or study. You will just have to accept it for what it is.
 
There is a close friend of my family that is a director of an ER. He says that almost all of the docs are part time (rural, Trauma III). Also, he says that it is often times hard to get all of the shifts covered, so he has to pick up the slack.
 
Thanks for all the responses.

I am willing to work very hard to get what I want, and I understand that it will be difficult, but it is nice to know that there are people out there that have found what they want in medicine and their own lives.

It really isn't about the money for me, because that's not why I went into medicine. I know that it's important when you have loans from med school, but I figure they will be paid off eventually.

I know that there will always be people looking down upon some decision you make in your life, and working part-time may be one of them. In the end, it only depends on how happy you are. If I do find that opportunity 10-12 years from now, I know I will be well balanced, fulfilled, and happy, and probably a better doctor to my patients because of it.
 
For many fields, working a reduced number of hours (especially if you're in a private/group practice) is always possible - but many don't want to do this because...

(1) It may be hard to keep up your skills (especially in procedure-heavy fields)
(2) It may be hard to pay back your loans
(3) Some hospitals/groups may have a certain time requirement for certain benefits
(4) You may develop a smaller patient base than your busier colleagues/partners
 
If everyone contributed one story on this site to a part-time doc, that be like 30,000 part time docs (well active users and as well as if we all didn't know the same doc 😉 )

Sure. But as many people could also contribute at least one story of doctors they know having to work amazingly long hours, missing family events etc. Then where would we be. 😀
 
If you want to be a part time doctor do the world a favor and don't waste a med school spot. If you want to do part time stuff be a PA. It is much more family friendly and better fit for part time.

You have got to be kidding. If we carry your thought to its logical conclusion, there must be some arbitrary number of hours one must work every week to justify taking a spot in medical school. Forty hours? Sixty hours? 168?

You folks have got to get it out of your head that you are joining a cult. It's just a degree. People can do with it what they want including working part-time, not working at all, or sacrificing their entire life to it.
 
A, I dont want to be a "single mom" nor do most people who have kids. I do, on the other hand, want to have a family. There is nothing wrong with that,
You're right, there's nothing wrong with wanting to have a family, but there is something wrong with weakening the medical profession by trying to be a part-time doctor and a part-time mother.

as is evidenced by the fact that abt 50% of all med school classes these days (in some schools even more) are composed of female students.
How is that evidence of the idea that there's nothing wrong with women taking up spots in medical school and then quitting full-time work to spend time with the kids? The fact that medical schools have made such a colossal mistake in admitting large numbers of women in no way proves that it was not a mistake.

one of few future med students out there who wants to have kids and be a good dr.
You can't be a good mother and a good doctor. Pick one or the other.

and, to the OP - YOU GO GIRL!!!
No, don't go, girl. mycurlyearly, you do not belong in medicine. Chuckwalla was right.
 
You can be a good mom (or dad) as well as a good doctor.

Anyone who feels that the choices are absolute and exclusionary is either ignorant of Medicine, or is shadowing the wrong people.

If medicine and family are your ambitions, I recommend you do both.
Your patients will appreciate your ability to relate to real people with real issues.
And your kids and spouses will love you the same, and appreciate you more.😍
 
I am somewhat in the same boat... I have a baby girl due to arrive just after Christmas and I do want to spend as much time with my family as I can after med school/residency. Thankfully, emergency medicine has been a passion of mine and one of the only specialties that I am even considering.

All of the ER docs I know really enjoy the set hours and not having to take call. Also, once you get established with a group, you can work as little as you like. 4 of the docs that work for the last ER I was working at only work 2 12 hour shifts a week. Not too shabby.
 
When I was choosing a specialty the number one consideration was lifestyle. There are many specialties where you can have a great lifestyle AND make a pretty decent salary. Here are some stories of people I know:

An EM doc who works 2 60hr shifts per month in a small ER. He can sleep or eat or whatever as long as their aren't patients to see. He works for the VA and has full benefits and makes $180,000 per year salaried. He is more or less working about 6 days out of each month and has the rest of his time off! That is $125/hr.

A derm doc who is married to another physician and worked 3 days per week 8 to 3 so she could be home with her kids after school. She made $200,000 per year. That is about $190/hr. Her last child just graduated and now she is working 3 days per week until 5.

An occupational medicine doc who works 3 days a week from 9 to 4 and makes $250,000+ . . . this would be less typical than the stories for EM and derm. That is $238+/hr. A more typical occ med doc works 4 days per week, 9-5 and makes about $170,000 per year. That is still about $106/hr. Occ med is as good as derm for lifestyle but pays less, has fewer job opportunities and is far less competitive.

An interventional pain doc who works 3 days per week, 8 to 5 and makes about $700,000 per year. That is over $500/hr!

You can find many specialties and opportunities where you can work fewer than 40 hours per week and make over $100 per hour. Just keep your grades up in med school and your board scores high so all options are available to you.
 
Check out the boards at Mommd.com this is a topic that comes up often and there are some doctors on there currently working part time.

It's possible. There are some docs in my area that work reduced hours, or 3 1/2 days a week (I know some in peds, IM, FP, EM, etc.). Men and women, of varying ages. Some docs also job-share or if they are a solo practitioners set their own hours. If you're flexible about the hours and pay it's becoming more common. I wouldn't say you could count on having lots of options at this point in time, but who knows what things will be like in the future.

You can do what you want with your degree and it's no one else's business.

Only a troll would say a doctor cannot be a good physician and a good parent :laugh: Sure, a single-doctor-mom (or dad) isn't the same as a married-stay-at-home mom (or dad), but that doesn't make them inherently better or worse, just different.
 
When I get out in practical life inshAllah i won't want to work part- time. I inshAllah want to go in EM and I don't think there is such a thing as a pert- time EM Doctor.
 
When I get out in practical life inshAllah i won't want to work part- time. I inshAllah want to go in EM and I don't think there is such a thing as a pert- time EM Doctor.

1. Your post is all screwed up.

2. How can you know how you want to practice when you are "C/O 2015"

3. At the age of 18 at least 1/2 of the 300 students in my biology class were "pre-med" (a term that I find silly except that is makes sense on SDN) and about 10 of them went to medical school. You might not even end up in medical school.
 
1. Your post is all screwed up.

No, it's not. InshAllah is a word Mohammedans insert into their sentences to indicate their desire that Allah's will be done. So pakbabydoll has revealed that not only does she not belong in medicine, she doesn't belong in America either.
 
No, it's not. InshAllah is a word Mohammedans insert into their sentences to indicate their desire that Allah's will be done. So pakbabydoll has revealed that not only does she not belong in medicine, she doesn't belong in America either.

I hope to ALLAH that this is a troll post because no one should be this outright stupid. And don't EVER call a Muslim a Mohammedian. EVER.
 
Wow Trismegistus4, that was racist as ****. 👎
 
I hope to ALLAH that this is a troll post because no one should be this outright stupid. And don't EVER call a Muslim a Mohammedian. EVER.

Uh, why not, I mean other than the fact that it is old-fashioned and difficult to get your tounge around?

Now, I understand that Molems are kind of touchy about their religion but you should try being a Christian. At least the liberals pretend to respect your religion which is not the case with Christianity.
 
Uh, why not, I mean other than the fact that it is old-fashioned and difficult to get your tounge around?

Now, I understand that Molems are kind of touchy about their religion but you should try being a Christian. At least the liberals pretend to respect your religion which is not the case with Christianity.


Islam is really big on only worshiping Allah, as I'm sure you understand. Saying Muslims are Muhammedians is sort of indicating that we worship the Prophet Muhammad (PBUH) in any way, shape, or form, which we do not. That label is usually used to insult Muslims.

Anyways, I don't think that he is liberal, I'm pretty sure he is conservative. And you're right Christianity and Judaism do not get a lot of respect either and that is crap.
 
When I get out in practical life inshAllah i won't want to work part- time. I inshAllah want to go in EM and I don't think there is such a thing as a pert- time EM Doctor.

EM is all part-time, at least compared to other specialties. The typical EM physician works around 40 hours a week which is nothing compared to the typical general surgeon.

I also want to add that you love for medicine nonwithstanding, there is going to be some point where you become sick of it and value your free time more than your job. I like my job (Emergency Medicine resident for those of you who have still not read my blog) but I am exceedingly glad to be done with my shift and I prize my days off. In this I am not alone as I don't know any of my peers who volunteer to work extra shifts.

All kidding aside, medicine is a decent job but most of you are not going to love it with same passion that you express now. It's easy to talk about how you're going to dedicate your life to its service now but in a few years you will see that medicine is not going to love you back and there is no reward (except financial, naturally) for jumping on the proverbial grenade.
 
EM is all part-time, at least compared to other specialties. The typical EM physician works around 40 hours a week which is nothing compared to the typical general surgeon.

I also want to add that you love for medicine nonwithstanding, there is going to be some point where you become sick of it and value your free time more than your job. I like my job (Emergency Medicine resident for those of you who have still not read my blog) but I am exceedingly glad to be done with my shift and I prize my days off. In this I am not alone as I don't know any of my peers who volunteer to work extra shifts.

All kidding aside, medicine is a decent job but most of you are not going to love it with same passion that you express now. It's easy to talk about how you're going to dedicate your life to its service now but in a few years you will see that medicine is not going to love you back and there is no reward (except financial, naturally) for jumping on the proverbial grenade.


Ah, it had to be said. Reading SDN my perception of medicine has been skewed. That is, until I shadowed a doctor and saw what it was really like....it's a job. A job I would still like to someday do, but it isn't that magical experience that I used to envision. I should start reading your blog...
 
We have people taking up med school spots and working two or three days a week. No wonder there is a doctor shortage.

I'll probably get criticized for saying this but it is the truth. If you want to be a single mom or something, you shouldn't be a doctor. Because if you hadn't taken that med school spot there probably would have been someone in it who would care for patients full time. I can assure you that there have been people who have had to wait twice as long to see a specialist they need because she wanted to stay at home with the kids more.

There are great careers for people who want to be part-time, things that are not life and death. Being a doctor is not one of them.
Wow, I rarely say this, but your thoughts are coming off as quite chauvinist as well as placing the blame on the wrong place. Just because medical schools aren't training enough people doesn't mean an individual needs to let their dreams die because they're not willing to work an ungodly amount.
 
...There are great careers for people who want to be part-time, things that are not life and death. Being a doctor is not one of them....

Most of medicine is not generally life or death either, at least in most of the primary care specialties. It's just not. "Pediatric Surgeon." Okay. Life or death. I'll give you that. "Pediatrician." Not hardly.

Even my specialty is loaded with minor complaints Not to mention that a lot of the "life or death" stuff we do is performed on patients who inevitably die a few days later in the ICU after their families come to terms with the fact that granny was down for twenty minutes before anybody got to her and she ain't coming back.

Besides, you can make life or death decisions working part-time or full-time.

On another point, "part time" and "full time" are meaningless terms in medicine where in some specialties, fifty hour weeks are considered "part time." A general surgeon working only fifty hours per week is the envy of his peers even if they do consider him something of a slacker.
 
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